从伏邪论治慢性肾脏病基础上急性肾损伤

Treatment of Acute Kidney Injury-on-chronic Kidney Disease from the Theory of Hidden Pathogen

慢性肾脏病基础上急性肾损伤属中医“水肿、关格、肾衰、溺毒、癃闭、腰痛”范畴。此文从伏邪理论的角度探讨慢性肾脏病基础上急性肾损伤的病因病机及临床治疗,为该病临床治疗提供新思路。此文从伏邪理论探讨慢性肾脏病基础上急性肾损伤的分期治疗,急性加重期予以补虚祛伏邪,慢性缓解期予以温阳补脾肾,临床运用伏邪理论治疗该病取得较好的疗效。

Acute kidney injury-on-chronic kidney disease belongs to the category of“edema,closure,renal failure,drowning poison,occlusion and lumbago”in traditional Chinese medicine.This article discussed the etiology,pathogenesis and clinical treatment of acute-on-chronic kidney disease from the point of view of hidden pathogen theory,and provided a new idea for clinical treatment of this disease.This paper discussed the stage treatment of acute-on-chronic kidney disease by the theory of hidden pathogen.In the acute exacerbation stage,it should be used to tonify the deficiency and remove the hidden pathogen,and in the chronic remission stage,it should be used to warm the yang and tonify the spleen and kidney.